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General NPI Number Information
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NPI Number | 1639544919
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Entity Type | Organization
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Legal Business Name | ADULT DAY HEALTH, INC.
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 09/05/2023
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Provider Practice Location Address
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Address Line | 1040 SOUTHBRIDGE ST
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City | WORCESTER
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State | MA
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Zip | 01610-2235
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Country | US
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Telephone | 508-925-0389
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Fax |
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Provider Business Mailing Address
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Address Line | 225 FOXBOROUGH BLVD STE 103
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City | FOXBOROUGH
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State | MA
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Zip | 02035-3062
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Country | US
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Telephone | 508-733-2552
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Fax | 774-215-5708
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Authorized Official
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Title or Position | VP QI
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Name | SUSAN R REDD-GARCELON
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Credential | RN
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Telephone | 508-733-2552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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